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Author = Teljeur, Conor;
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Displaying Results 1 - 23 of 23 on page 1 of 1
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Addressing market segmentation and incentives for risk selection: how well does risk equalisation in the Irish private health insurance market work?
(2017)
Keegan, Conor; Teljeur, Conor; Turner, Brian; Thomas, Steve
Addressing market segmentation and incentives for risk selection: how well does risk equalisation in the Irish private health insurance market work?
(2017)
Keegan, Conor; Teljeur, Conor; Turner, Brian; Thomas, Steve
Abstract:
This study assesses the efficacy of Ireland’s recently introduced risk equalisation scheme in its voluntary health insurance market. Robust risk equalisation is especially important in an Irish context given acute risk segmentation and incentives for risk selection that have evolved within the market. Using uniquely acquired VHI data (N=1,235,922) this analysis assesses the predictive efficacy of both current and alternative risk equalisation specifications. Results suggest that the low predictive power of the current risk equalisation design (R2 = 6.8 per cent) is not appropriately correcting for anti-competitive incentives and asymmetries in the market. Improvements to the current design could be achieved through the introduction of diagnosis-based risk adjusters.
http://hdl.handle.net/10468/3987
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Birth projections for the Dublin maternity hospitals: 2000 - 2016.
(2001)
Teljeur, Conor; Trinity College Dublin. Department of Public Health and Primary Care. S...
Birth projections for the Dublin maternity hospitals: 2000 - 2016.
(2001)
Teljeur, Conor; Trinity College Dublin. Department of Public Health and Primary Care. Small Area Health Research Unit.; Small Area Health Research Unit (SAHRU); Eastern Regional Health Authority (ERHA)
Abstract:
This study was commissioned by the Eastern Regional Health Authority. This report documents the development and results for the birth projection model for the Greater Dublin Area for the period 2000 (the base year) to 2016. The Area in question includes Counties Wicklow, Kildare and Dublin (the Eastern Regional Health Authority) and County Meath. Ninety-five percent of all live births in the Greater Dublin Area take place in the four Dublin maternity hospitals (viz. the National Maternity Hospital (Holles Street), the Coombe Women's Hospital, the Rotunda Hospital and Mount Carmel). These hospitals accommodated 99% of all live births in Co. Dublin and 84% of all live births in the Counties of Kildare, Meath and Wicklow. A small percentage (about 5%) of births in these hospitals are from outside the Greater Dublin Area.
http://hdl.handle.net/10147/264173
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Detection and investigation of temporal clusters of congenital anomaly in Europe: seven years of experience of the EUROCAT surveillance system.
(2015)
TELJEUR, CONOR
Detection and investigation of temporal clusters of congenital anomaly in Europe: seven years of experience of the EUROCAT surveillance system.
(2015)
TELJEUR, CONOR
Abstract:
Detection and investigation of congenital anomaly clusters is one part of surveillance to detect new or changing teratogenic exposures in the population. The EUROCAT (European Surveillance of Congenital Anomalies) cluster monitoring system and results are described here. Monitoring was conducted annually from 2007 to 2013 for 18 registries covering an annual birth population up to 0.5 million births. For each registry and 72 anomaly subgroups, the scan "moving window" technique was used to detect clusters in time occurring within the last 2 years based on estimated date of conception. Registries conducted preliminary investigations using a standardised protocol to determine whether there was cause for concern, and expert review was used at key points. 165 clusters were detected, a rate of 3.4% of all 4823 cluster tests performed over 7 years, more than expected by chance. Preliminary investigations of 126 new clusters confirmed that 35% were an unusual aggregation of cases...
http://hdl.handle.net/2262/76634
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Diagnostic accuracy systematic review of rectal bleeding in combination with other symptoms, signs and tests in relation to colorectal cancer
(2010)
TELJEUR, CONOR
Diagnostic accuracy systematic review of rectal bleeding in combination with other symptoms, signs and tests in relation to colorectal cancer
(2010)
TELJEUR, CONOR
Abstract:
Background: Rectal bleeding is a recognised early symptom of colorectal cancer. This study aimed to assess the diagnostic accuracy of symptoms, signs and diagnostic tests in patients with rectal bleeding in relation to risk of colorectal cancer in primary care. Methods: Diagnostic accuracy systematic review. Medline (1966 to May 2009), Embase (1988 to May 2009), British Nursing Index (1991 to May 2009) and PsychINFO (1970 to May 2009) were searched. We included cohort studies that assessed the diagnostic utility of rectal bleeding in combination with other symptoms, signs and diagnostic tests in primary care. An eight-point quality assessment tool was produced to assess the quality of included studies. Pooled positive likelihood ratios (PLRs), sensitivities and specificities were calculated. Results: Eight studies incorporating 2323 patients were included. Average weighted prior probability of colorectal cancer was 7.0% (range: 3.3?15.4%, median: 8.1%). Age greater than ...
http://hdl.handle.net/2262/60885
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Effectiveness of systematic screening for the detection of atrial fibrillation.
(2013)
Moran, Patrick S; Flattery, Martin J; Teljeur, Conor; Ryan, Mairin; Smith, Susan M
Effectiveness of systematic screening for the detection of atrial fibrillation.
(2013)
Moran, Patrick S; Flattery, Martin J; Teljeur, Conor; Ryan, Mairin; Smith, Susan M
Abstract:
<p>This article is also available at <a href="http://www.ncbi.nlm.nih.gov/pubmed/23633374">http://www.ncbi.nlm.nih.gov/pubmed/23633374</a></p>
<p>BACKGROUND: Atrial fibrillation (AF) is the most common arrhythmia in clinical practice and is a leading cause of morbidity and mortality. Screening for AF in asymptomatic patients has been proposed as a way of reducing the burden of the disease by detecting people who would benefit from prophylactic anticoagulation therapy prior to the onset of symptoms. However, for screening to be an effective intervention it must improve the detection of AF and provide benefit for those who are detected earlier as a result of screening.</p> <p>OBJECTIVES: The primary objective of this review was to examine whether screening programmes increase the detection of new cases of AF compared to routine practice. The secondary objectives were to identify which combination of screening strategy and patient...
https://epubs.rcsi.ie/gpart/80
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General practitioner workforce planning: assessment of four policy directions
(2010)
TELJEUR, CONOR; O'DOWD, THOMAS; THOMAS, STEPHEN; O'KELLY, FERGUS
General practitioner workforce planning: assessment of four policy directions
(2010)
TELJEUR, CONOR; O'DOWD, THOMAS; THOMAS, STEPHEN; O'KELLY, FERGUS
Abstract:
Background: Estimating the supply of GPs into the future is important in forecasting shortages. The lengthy training process for medicine means that adjusting supply to meet demand in a timely fashion is problematic. This study uses Ireland as a case study to determine the future demand and supply of GPs and to assess the potential impact of several possible interventions to address future shortages. Methods: Demand was estimated by applying GP visit rates by age and sex to national population projections. Supply was modelled using a range of parameters derived from two national surveys of GPs. A stochastic modelling approach was adopted to determine the probable future supply of GPs. Four policy interventions were tested: increasing vocational training places; recruiting GPs from abroad; incentivising later retirement; increasing nurse substitution to enable practice nurses to deliver more services. Results: Relative to most other European countries, Ireland has few GPs per capita....
http://hdl.handle.net/2262/40206
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General practitioner workforce planning: assessment of four policy directions.
(2010)
Teljeur, Conor; Thomas, Stephen; O'Kelly, Fergus D; O'Dowd, Tom
General practitioner workforce planning: assessment of four policy directions.
(2010)
Teljeur, Conor; Thomas, Stephen; O'Kelly, Fergus D; O'Dowd, Tom
Abstract:
BACKGROUND: Estimating the supply of GPs into the future is important in forecasting shortages. The lengthy training process for medicine means that adjusting supply to meet demand in a timely fashion is problematic. This study uses Ireland as a case study to determine the future demand and supply of GPs and to assess the potential impact of several possible interventions to address future shortages. METHODS: Demand was estimated by applying GP visit rates by age and sex to national population projections. Supply was modelled using a range of parameters derived from two national surveys of GPs. A stochastic modelling approach was adopted to determine the probable future supply of GPs. Four policy interventions were tested: increasing vocational training places; recruiting GPs from abroad; incentivising later retirement; increasing nurse substitution to enable practice nurses to deliver more services. RESULTS: Relative to most other European countries, Ireland has few GPs per capita....
http://hdl.handle.net/10147/116311
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Methodological considerations in the development of small area deprivation indices
(2007)
Teljeur, Conor
Methodological considerations in the development of small area deprivation indices
(2007)
Teljeur, Conor
Abstract:
THESIS 8200
Health inequalities exist such that people with lower incomes and poorer social conditions experience poorer health. When individual level characteristics are aggregated to an area level, the socioeconomic status or deprivation of the neighbourhood also correlates with the health status and outcomes of the people who live in that area. The nature of these links between income and health vary across urban and rural areas reflecting the different social dynamics at play across the urban-rural continuum. The aim of this research was to assess current deprivation index methodology and to propose improvements to the methodology. In addition, the issues surrounding urban-rural variation in deprivation indices were addressed. To facilitate analysis of urban-rural deprivation differences, a small area classification was required. The previous urban-rural classification was based on a simple dichotomy which ignored the range of settlement and area types. Multiple data sources...
http://hdl.handle.net/2262/78229
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Optimized retrieval of primary care clinical prediction rules from MEDLINE to establish a Web-based register.
(2011)
Keogh, Claire; Wallace, Emma; O'Brien, Kirsty K; Murphy, Paul J; Teljeur, Conor; M...
Optimized retrieval of primary care clinical prediction rules from MEDLINE to establish a Web-based register.
(2011)
Keogh, Claire; Wallace, Emma; O'Brien, Kirsty K; Murphy, Paul J; Teljeur, Conor; McGrath, Brid; Smith, Susan M; Doherty, Niall; Dimitrov, Borislav D; Fahey, Tom
Abstract:
<p>This article is also available at <a href="http://www.sciencedirect.com/science/article/pii/S0895435610004233">http://www.sciencedirect.com/science/article/pii/S0895435610004233</a></p>
<p>OBJECTIVES: Identifying clinical prediction rules (CPRs) for primary care from electronic databases is difficult. This study aims to identify a search filter to optimize retrieval of these to establish a register of CPRs for the Cochrane Primary Health Care field.</p> <p>STUDY DESIGN AND SETTING: Thirty primary care journals were manually searched for CPRs. This was compared with electronic search filters using alternative methodologies: (1) textword searching; (2) proximity searching; (3) inclusion terms using specific phrases and truncation; (4) exclusion terms; and (5) combinations of methodologies.</p> <p>RESULTS: We manually searched 6,344 articles, revealing 41 CPRs. Across the 45 search filters, sensitivities ranged from...
https://epubs.rcsi.ie/gpart/26
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Out-of-hospital cardiac arrest in the home: Can area characteristics identify at-risk communities in the Republic of Ireland?
(2018)
Masterson, Siobhán; Teljeur, Conor; Cullinan, John; Murphy, Andrew W; Deasy, Conor; Vel...
Out-of-hospital cardiac arrest in the home: Can area characteristics identify at-risk communities in the Republic of Ireland?
(2018)
Masterson, Siobhán; Teljeur, Conor; Cullinan, John; Murphy, Andrew W; Deasy, Conor; Vellinga, Akke
Abstract:
Abstract Background Internationally, the majority of out-of-hospital cardiac arrests where resuscitation is attempted (OHCAs) occur in private residential locations i.e. at home. The prospect of survival for this patient group is universally dismal. Understanding of the area-level factors that affect the incidence of OHCA at home may help national health planners when implementing community resuscitation training and services. Methods We performed spatial smoothing using Bayesian conditional autoregression on case data from the Irish OHCA register. We further corrected for correlated findings using area level variables extracted and constructed for national census data. Results We found that increasing deprivation was associated with increased case incidence. The methodology used also enabled us to identify specifi...
http://dx.doi.org/10.1186/s12942-018-0126-z
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Out-of-hospital cardiac arrest in the home: can area characteristics identify at-risk communities in the republic of ireland?
(2018)
Masterson, Siobhán; Teljeur, Conor; Cullinan, John; Murphy, Andrew W.; Deasy, Conor; Ve...
Out-of-hospital cardiac arrest in the home: can area characteristics identify at-risk communities in the republic of ireland?
(2018)
Masterson, Siobhán; Teljeur, Conor; Cullinan, John; Murphy, Andrew W.; Deasy, Conor; Vellinga, Akke
Abstract:
Background: Internationally, the majority of out-of-hospital cardiac arrests where resuscitation is attempted (OHCAs) occur in private residential locations i.e. at home. The prospect of survival for this patient group is universally dismal. Understanding of the area-level factors that affect the incidence of OHCA at home may help national health planners when implementing community resuscitation training and services. Methods: We performed spatial smoothing using Bayesian conditional autoregression on case data from the Irish OHCA register. We further corrected for correlated findings using area level variables extracted and constructed for national census data. Results: We found that increasing deprivation was associated with increased case incidence. The methodology used also enabled us to identify specific areas with higher than expected case incidence. Conclusions: Our study demonstrates novel use of Bayesian conditional autoregression in quantifying area level risk of a health...
http://hdl.handle.net/10379/12679
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Potentially inappropriate prescribing and vulnerability and hospitalization in older community-dwelling patients.
(2014)
Cahir, Caitriona; Moriarty, Frank; Teljeur, Conor; Fahey, Tom; Bennett, Kathleen
Potentially inappropriate prescribing and vulnerability and hospitalization in older community-dwelling patients.
(2014)
Cahir, Caitriona; Moriarty, Frank; Teljeur, Conor; Fahey, Tom; Bennett, Kathleen
Abstract:
<p>The original article is available at http://journals.sagepub.com</p>
<p><strong>BACKGROUND:</strong> The predictive validity of existing explicit process measures of potentially inappropriate prescribing (PIP) is not established.</p> <p><strong>OBJECTIVE:</strong> To determine the association between PIP, and vulnerability and hospital visits in older community-dwelling patients.</p> <p><strong>METHODS:</strong> This was a retrospective cohort study of 931 community-dwelling patients aged ≥70 years in 15 general practices in Ireland in 2010. PIP was defined by the Beers 2012 criteria and the Screening Tool of Older Person's Potentially Inappropriate Prescriptions (STOPP). Vulnerability was measured by the Vulnerable Elders Survey (score ≥3). The number of hospital visits was measured using patients' medical records and self-report for the previous 6 months. Multilevel logistic and Poisson ...
https://epubs.rcsi.ie/gpart/121
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Predicting streptococcal pharyngitis in adults in primary care: a systematic review of the diagnostic accuracy of symptoms and signs and validation of the Centor score.
(2011)
Aalbers, Jolien; O'Brien, Kirsty K; Chan, Wai-Sun; Falk, Gavin A; Teljeur, Conor; ...
Predicting streptococcal pharyngitis in adults in primary care: a systematic review of the diagnostic accuracy of symptoms and signs and validation of the Centor score.
(2011)
Aalbers, Jolien; O'Brien, Kirsty K; Chan, Wai-Sun; Falk, Gavin A; Teljeur, Conor; Dimitrov, Borislav D; Fahey, Tom
Abstract:
<p>This article is also available from <a href="http://www.biomedcentral.com">www.biomedcentral.com</a></p>
<p>BACKGROUND: Stratifying patients with a sore throat into the probability of having an underlying bacterial or viral cause may be helpful in targeting antibiotic treatment. We sought to assess the diagnostic accuracy of signs and symptoms and validate a clinical prediction rule (CPR), the Centor score, for predicting group A β-haemolytic streptococcal (GABHS) pharyngitis in adults (> 14 years of age) presenting with sore throat symptoms.</p> <p>METHODS: A systematic literature search was performed up to July 2010. Studies that assessed the diagnostic accuracy of signs and symptoms and/or validated the Centor score were included. For the analysis of the diagnostic accuracy of signs and symptoms and the Centor score, studies were combined using a bivariate random effects model, while for the calibration analysis of the...
https://epubs.rcsi.ie/gpart/10
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Prescriber variation in potentially inappropriate prescribing in older populations in Ireland
(2014)
Cahir, Caitriona; Fahey, Tom; Teljeur, Conor; Bennett, Kathleen
Prescriber variation in potentially inappropriate prescribing in older populations in Ireland
(2014)
Cahir, Caitriona; Fahey, Tom; Teljeur, Conor; Bennett, Kathleen
Abstract:
Health care policy-makers look for prescribing indicators at the population level to evaluate the performance of prescribers, improve quality and control drug costs. The aim of this research was to; (i) estimate the level of variation in potentially inappropriate prescribing (PIP) across prescribers in the national Irish older population using the STOPP criteria; (ii) estimate how reliably the criteria could distinguish between prescribers in terms of their proportion of PIP and; (iii) examine how PIP varies between prescribers and by patient and prescriber characteristics in a multilevel regression model.
http://hdl.handle.net/10147/315557
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Prescriber variation in potentially inappropriate prescribing in older populations in Ireland
(2014)
Cahir, Caitriona; Fahey, Tom; Teljeur, Conor; Bennett, Kathleen
Prescriber variation in potentially inappropriate prescribing in older populations in Ireland
(2014)
Cahir, Caitriona; Fahey, Tom; Teljeur, Conor; Bennett, Kathleen
Abstract:
Abstract Background Health care policy-makers look for prescribing indicators at the population level to evaluate the performance of prescribers, improve quality and control drug costs. The aim of this research was to; (i) estimate the level of variation in potentially inappropriate prescribing (PIP) across prescribers in the national Irish older population using the STOPP criteria; (ii) estimate how reliably the criteria could distinguish between prescribers in terms of their proportion of PIP and; (iii) examine how PIP varies between prescribers and by patient and prescriber characteristics in a multilevel regression model. Methods 1,938 general practitioners (GPs) with 338,375 registered patients’ ≥70 years were extracted from the Health Service Executive Primary Care Reimbursement Service (HSE-PCRS) pharmacy claims database. HSE-PCRS prescriptions are WHO ATC coded. Demographic data for claimants&...
http://dx.doi.org/10.1186/1471-2296-15-59
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Prescriber variation in potentially inappropriate prescribing in older populations in Ireland.
(2014)
Cahir, Caitriona; Fahey, Tom; Teljeur, Conor; Bennett, Kathleen
Prescriber variation in potentially inappropriate prescribing in older populations in Ireland.
(2014)
Cahir, Caitriona; Fahey, Tom; Teljeur, Conor; Bennett, Kathleen
Abstract:
<p>The original article is available at <a href="http://www.biomedcentral.com">www.biomedcentral.com</a></p>
<p>BACKGROUND: Health care policy-makers look for prescribing indicators at the population level to evaluate the performance of prescribers, improve quality and control drug costs. The aim of this research was to; (i) estimate the level of variation in potentially inappropriate prescribing (PIP) across prescribers in the national Irish older population using the STOPP criteria; (ii) estimate how reliably the criteria could distinguish between prescribers in terms of their proportion of PIP and; (iii) examine how PIP varies between prescribers and by patient and prescriber characteristics in a multilevel regression model.</p> <p>METHODS: 1,938 general practitioners (GPs) with 338,375 registered patients' ≥70 years were extracted from the Health Service Executive Primary Care Reimbursement Service (HSE-PCRS) pharmacy ...
https://epubs.rcsi.ie/gpart/48
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Prevalence of Opiate Use in Ireland 2006: A 3-Source Capture Recapture Study
(2010)
KELLY, ALAN; Teljeur, Conor; Carvalho, Marlen
Prevalence of Opiate Use in Ireland 2006: A 3-Source Capture Recapture Study
(2010)
KELLY, ALAN; Teljeur, Conor; Carvalho, Marlen
Abstract:
This study estimates the prevalence of problem opiate use in Ireland in 2006 using a 3-source capture-recapture method. The three population sources employed to calculate the estimate were the Central (methadone) Treatment List (CTL), the Hospital In-Patient Enquiry Scheme (HIPE) and the Garda list of opiate users.
http://hdl.handle.net/2262/41232
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Proton pump inhibitors: potential cost reductions by applying prescribing guidelines.
(2012)
Cahir, Caitriona; Fahey, Tom; Tilson, Lesley; Teljeur, Conor; Bennett, Kathleen
Proton pump inhibitors: potential cost reductions by applying prescribing guidelines.
(2012)
Cahir, Caitriona; Fahey, Tom; Tilson, Lesley; Teljeur, Conor; Bennett, Kathleen
Abstract:
<p>This article is also available from <a href="http://www.biomedcentral.com">www.biomedcentral.com</a></p>
<p>BACKGROUND: There are concerns that proton pump inhibitors (PPI) are being over prescribed in both primary and secondary care. This study aims to establish potential cost savings in a community drug scheme for a one year period according to published clinical and cost-effective guidelines for PPI prescribing.</p> <p>METHODS: Retrospective population-based cohort study in the Republic of Ireland using the Health Services Executive (HSE) Primary Care Reimbursement Services (PCRS) pharmacy claims database. The HSE-PCRS scheme is means tested and provides free health care including medications to approximately 30% of the Irish population. Prescription items are WHO ATC coded and details of every drug dispensed and claimants' demographic data are available. Potential cost savings (net ingredient cost) were estimated ac...
https://epubs.rcsi.ie/gpart/32
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Risk of drug related mortality during periods of transition in methadone maintenance treatment: a cohort study
(2011)
Cousins, Grainne; Teljeur, Conor; Motterlini, Nicola; McCown, Colin; Dimitrov, Borislav...
Risk of drug related mortality during periods of transition in methadone maintenance treatment: a cohort study
(2011)
Cousins, Grainne; Teljeur, Conor; Motterlini, Nicola; McCown, Colin; Dimitrov, Borislav D; Fahey, Tom
Abstract:
<p>This article is also available at <a href="http://www.sciencedirect.com.proxy.library.rcsi.ie/science/article/pii/S0740547211000973">http://www.sciencedirect.com.proxy.library.rcsi.ie/science/article/pii/S0740547211000973</a></p>
<p>This study aims to identify periods of elevated risk of drug related mortality during methadone maintenance treatment (MMT) in primary care using a cohort of 3,162 Scottish drug users between January 1993 and February 2004. Deaths occuring during treatment or within 3 days after last methadone prescription expired were considered as cases “on treatment”. Fatalities occuring 4 days or more after leaving treatment were cases “off treatment”. 64 drug related deaths were identified. The greatest risk of drug related death was in the first 2 weeks of treatment (Adjusted hazard ratio 2.60, 95% CI 1.03 to 6.56). Risk of drug related death was lower after the first 30 days following treatment cessation, relative to ...
https://epubs.rcsi.ie/gpart/24
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Switching benefits and costs in the Irish health insurance market: an analysis of consumer surveys
(2018)
KEEGAN, CONOR; Teljeur, Conor; Turner, Brian; THomas, Steve
Switching benefits and costs in the Irish health insurance market: an analysis of consumer surveys
(2018)
KEEGAN, CONOR; Teljeur, Conor; Turner, Brian; THomas, Steve
Abstract:
Relatively little analysis has taken place internationally on the consumer-reported benefits and costs to switching insurer in multi-payer health insurance markets. Ideally, consumers should be willing to switch out of consideration for price and quality and switching should be able to take place without incurring significant switching costs. Costs to switching come in many forms and understanding the nature of these costs is necessary if policy interventions to improve market competition are to be successful. This study utilises data from consumer surveys of the Irish health insurance market collected between 2009 and 2013 (N = 1703) to examine consumer-reported benefits and costs to switching insurer. Probit regression models are specified to examine the relationship between consumer characteristics and reported switching costs, and switching behaviour, respectively. Overall evidence suggests that switchers in the Irish market mainly did so out of consideration for price. Trans...
http://hdl.handle.net/2262/82882
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Switching benefits and costs in the Irish health insurance market: an analysis of consumer surveys
(2018)
Keegan, Conor; Teljeur, Conor; Turner, Brian; Thomas, Steve
Switching benefits and costs in the Irish health insurance market: an analysis of consumer surveys
(2018)
Keegan, Conor; Teljeur, Conor; Turner, Brian; Thomas, Steve
Abstract:
Relatively little analysis has taken place internationally on the consumer-reported benefits and costs to switching insurer in multi-payer health insurance markets. Ideally, consumers should be willing to switch out of consideration for price and quality and switching should be able to take place without incurring significant switching costs. Costs to switching come in many forms and understanding the nature of these costs is necessary if policy interventions to improve market competition are to be successful. This study utilises data from consumer surveys of the Irish health insurance market collected between 2009 and 2013 (N = 1703) to examine consumer-reported benefits and costs to switching insurer. Probit regression models are specified to examine the relationship between consumer characteristics and reported switching costs, and switching behaviour, respectively. Overall evidence suggests that switchers in the Irish market mainly did so out of consideration for price. Trans...
http://hdl.handle.net/10468/6493
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The effect of ‘paying for performance’ on the management of type 2 diabetes mellitus: a cross-sectional observational study
(2020)
O'Connor, Ray; O'Driscoll, Rory; O'Doherty, Jane; Hannigan, Ailish; O...
The effect of ‘paying for performance’ on the management of type 2 diabetes mellitus: a cross-sectional observational study
(2020)
O'Connor, Ray; O'Driscoll, Rory; O'Doherty, Jane; Hannigan, Ailish; O' Neill, Aoife; Teljeur, Conor; O'Regan, Andrew
Abstract:
Background: The ‘cycle of care’ (COC) pay for performance (PFP) programme, introduced in 2015, has resourced Irish GPs to provide structured care to PCRS eligible patients with type 2 diabetes mellitus (T2DM). Aim: To investigate the effect of COC on management processes. Design & setting: Cross-sectional observational study undertaken with two points of comparison (2014 and 2017) in participating practices (Republic of Ireland general practices), with comparator data from the United Kingdom National Diabetes Audit (UKNDA) 2015–2016. Method: Invitations to participate were sent to practices using a discussion forum for Health One clinical software. Participating practices provided data on the processes of care in the management of patients with T2DM. Data on PCRS eligible patients was extracted from the electronic medical record system of participating practices using secure customised software. Descriptive analysis, using IBM SPSS Statistics for Windows (version 25), was perf...
http://hdl.handle.net/10344/9506
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The spatial distribution of out-of-hospital cardiac arrest and the chain of survival in Ireland: a multi-class urban-rural analysis
(2017)
Masterson, Siobhán; Cullinan, John; Teljeur, Conor; Vellinga, Akke
The spatial distribution of out-of-hospital cardiac arrest and the chain of survival in Ireland: a multi-class urban-rural analysis
(2017)
Masterson, Siobhán; Cullinan, John; Teljeur, Conor; Vellinga, Akke
Abstract:
Abstract: Cardiac arrest occurs when the heart suddenly ceases to pump blood around the body. To optimise survival from out-of-hospital cardiac arrest (OHCA), knowledge of the spatial distribution of OHCA and the availability of resuscitation, or ‘Chain of Survival’, is required. Thus, this study aims to describe OHCA incidence and Chain of Survival availability in a manner that can help inform pre-hospital planning in the Republic of Ireland. In view of Ireland’s heterogeneous settlement pattern, we analyse the association between varying degrees of rurality, OHCA incidence and the availability of the Chain of Survival. In addition to population density, settlement size, proximity to urban centres and land use is taken into account which results in six classes: city; town; accessible village; remote village; accessible rural; remote rural. Results show that, when adjusted for age and sex, the incidence of adult OHCA decreases with increasing rurality. Furthermore, while distance to...
http://hdl.handle.net/10379/6605
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